RONALD L BANTA DPM NPI 1649218785

NPI Information

NPI: 1649218785
Provider Name: RONALD L BANTA, DPM
Classification: Podiatrist - 213ES0000X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
3077 E 98TH ST
INDIANAPOLIS, IN
ZIP 46280
Phone: (317) 843-2613
Get Directions

Ronald L Banta, DPM is a sports medicine podiatrist in Indianapolis, IN. Ronald L Banta, DPM NPI is 1649218785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3077 E 98TH ST
INDIANAPOLIS, IN
ZIP 46280-940
Phone: (317) 843-2613
Fax: (317) 574-5185

The NPI 1649218785 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/2/2006 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0000X	Podiatrist	Sports Medicine	07000296A	INDIANA	Yes
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	07000296A	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01424283	OTHER	INDIANA	RAIL ROAD PTAN
2	100461080	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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